Online PMHNP care for Washington adults
Psychiatric evaluation, diagnosis, and medication management by secure video for adults living anywhere in Washington — from Seattle and Bellevue to Tacoma, Spokane, Olympia, and Vancouver. Care is provided by Tyler Davis, PMHNP-BC, ADHD-CCSP, a psychiatric mental health nurse practitioner licensed in Washington.
Who this is for
MindCare works with Washington adults who are done waiting months for a psychiatric appointment and want a clinician who actually specializes in how the adult brain works. Most patients come to us for one of these:
- Adult ADHD — first-time evaluation, a second opinion, or continuing treatment after a move or a provider who stopped prescribing.
- Anxiety — persistent worry, panic, or physical symptoms that therapy alone hasn't resolved.
- Depression — low mood, motivation, and energy, including treatment-resistant cases.
- Burnout and executive dysfunction — high-functioning professionals whose systems have stopped working.
- Ongoing medication management — refills, dose adjustments, and side-effect troubleshooting with real follow-up.
How online PMHNP care works in Washington
- Take the free assessment. A short, evidence-based screening covering attention, mood, anxiety, and related symptoms. You get your results immediately.
- Book your evaluation. A focused video visit with Tyler covering history, current symptoms, prior treatment, and your goals.
- Get a plan. Diagnosis where warranted, a treatment plan, and prescriptions sent to your Washington pharmacy when medication is appropriate.
- Follow up. Measurement-based follow-up visits and secure messaging so treatment gets adjusted, not forgotten.
You need to be physically located in Washington at the time of your visit. All you need is a private space, a phone or laptop with a camera, and a stable connection.
Controlled substances and Washington rules
MindCare prescribes controlled substances — including ADHD stimulants when clinically indicated — to patients located in California, Arizona, Oregon, and Washington, which includes Washington. Prescribing follows federal DEA telemedicine requirements and Washington's controlled-substance rules, including review of the Washington State Prescription Monitoring Program (PMP). Medication is never promised before an evaluation; whether a stimulant, non-stimulant, or non-medication approach is right depends entirely on your clinical picture.
Full details are on our DEA telehealth rules page.
Cost, superbills, and HSA/FSA
MindCare is a self-pay practice, which means longer, unhurried visits and no insurance company deciding your treatment plan. After each visit you can request a superbill to submit to your insurer for possible out-of-network reimbursement, and HSA/FSA cards are accepted. Current rates are listed on the pricing page.
Your Washington clinician
Tyler Davis, PMHNP-BC, ADHD-CCSP, is a board-certified psychiatric mental health nurse practitioner and Certified ADHD Clinical Services Provider. She treats adults across Washington by telehealth and focuses on ADHD, anxiety, depression, burnout, and thoughtful medication management. Read her full bio.
Washington telehealth FAQ
Can I see a PMHNP online in Washington?
Yes. Washington permits psychiatric evaluation, diagnosis, and medication management by video with a licensed clinician. MindCare's clinician, Tyler Davis, PMHNP-BC, ADHD-CCSP, is licensed in Washington and treats adults entirely by secure video — no in-person visit required to get started.
Can ADHD stimulant medication be prescribed to Washington patients by telehealth?
Yes. MindCare prescribes controlled substances, including ADHD stimulants when clinically appropriate, to patients located in California, Arizona, Oregon, and Washington — Washington included. Prescribing follows federal DEA telemedicine rules and Washington's controlled-substance requirements, including review of the Washington State Prescription Monitoring Program (PMP). Medication is never guaranteed in advance — it depends on your evaluation.
Do I need to be physically in Washington for my appointment?
Yes. Telehealth care is delivered based on where you are located at the time of the visit, so you need to be physically present in a state where the clinician is licensed. Tyler is licensed in California, Arizona, Oregon, Washington, Nevada, and Idaho.
Do you take insurance in Washington?
MindCare is a self-pay practice. After each visit you can request a superbill to submit to your insurer for possible out-of-network reimbursement, and HSA/FSA cards are accepted. See the pricing page for current rates.
How soon can I be seen?
There is no waitlist. Most Washington patients start with the free online assessment, then book an initial evaluation at the next open time on the schedule.
What conditions do you treat for Washington adults?
Adult ADHD, anxiety, depression, burnout, executive dysfunction, and emotional overwhelm, along with ongoing medication management and follow-up care.
In a life-threatening emergency, call 988 or go to your nearest ER.